Test 3--Chapter 13 Preventing Falls

Question 1

What are the most common accidents in nursing centers?

Answer 1

Falls

Question 2

The risk of falling increases with _____.

Answer 2

The risk of falling increases with age.

Question 3

Nursing center falls may cause fractures. What body parts are most often fractured after falls?

Answer 3

• spine, pelvis
• hip, leg, ankle
• forearm, upper arm, hand

Question 4

Fear of falling can lead to _____________. (4 things)

Answer 4

• further loss of function,
• depression,
• feelings of helplessness, and
• social isolation.

This may increase the person’s risk of falling again.

Question 5

Where do most falls occur in nursing facilities?

Answer 5

resident rooms and bathrooms

Question 6

When do most falls occur?

Answer 6

• Between 1800 (6:00 PM) and 2100 (9:00 PM)
• During shift changes

Question 7

What are common risk factors for falls?

• ˜Poor _______
• cluttered ______,
• incorrect bed _______, and
• out-of-place _________
• wet and slippery ______,
• bathtubs, and
• showers.

Answer 7

• ˜Poor lighting,
• cluttered floors,
• incorrect bed ______, and
• out-of-place furniture
• wet and slippery floors,
• bathtubs, and
• showers.

Question 8

__________ are a device that serves as a guard or barrier along the side of the bed. They are ______ and lowered. They ____in place with ____, _____, or ______. They are half, three quarters, or the full length of the bed.

Answer 8

Bed rails are a device that serves as a guard or barrier along the side of the bed. Bed rails are raised and lowered. They lock in place with levers, latches, or buttons. Bed rails are half, three quarters, or the full length of the bed.

Question 9

Bed rails present hazards. ________ is a risk.

Answer 9

Bed rails present hazards. Entrapment is a risk.

Question 10

Some people feel safer with bed rails up. Others use them to change positions in bed. The person or legal representative must give consent for _____ bed rails.

Answer 10

Some people feel safer with bed rails up. Others use them to change positions in bed. The person or legal representative must give consent for raised bed rails.

Question 11

_______ are in hallways and stairways.

Answer 11

Hand rails are in hallways and stairways.

Question 12

_________ are in bathrooms and in shower/tub rooms.

Answer 12

˜Grab bars are in bathrooms and in shower/tub rooms.

Question 13

˜Bed legs have wheels. Each wheel has a lock to prevent the bed from moving. They are locked at all times except when ____________.

Answer 13

˜Bed legs have wheels. Each wheel has a lock to prevent the bed from moving. They are locked at all times except when moving the bed.

Question 14

What is used to support a person who is unsteady or disabled?

Answer 14

Transfer or gait belt

Question 15

What are the guidelines for using a gait belt?

• The belt goes around the person’s _____
• Apply belt snuggly around waist. Allow enough room for __ fingers between belt and waist.
• Secure the ______ in the front.
• Do Not apply buckle over ____ skin.
• Tuck any excess belt strap under the ____.
• Make sure the woman’s ______ is not caught under the belt.
• Grasp under the belt to support the person during the transfer or when assisting the person to ____

Answer 15

• The belt goes around the person’s waist.
• Apply belt snuggly around waist. Allow enough room for 4 fingers between belt and waist.
• Secure the buckle in the front.
• Do Not apply buckle over bare skin.
• Tuck any excess belt strap under the belt.
• Make sure the woman’s breast is not caught under the belt.
• Grasp under the belt to support the person during the transfer or when assisting the person to walk

Question 16

Should you try to prevent a fall?

Answer 16

NO

Question 17

What should you complete after a fall?

Answer 17

an incident report